Dealers, Doctors, and the Drug Company that Addicted America

    • 4.2 • 235 Ratings
    • $11.99
    • $11.99

Publisher Description

Journalist Beth Macy's definitive account of America's opioid epidemic "masterfully interlaces stories of communities in crisis with dark histories of corporate greed and regulatory indifference" (New York Times) -- from the boardroom to the courtroom and into the living rooms of Americans.
In this extraordinary work, Beth Macy takes us into the epicenter of a national drama that has unfolded over two decades. From the labs and marketing departments of big pharma to local doctor's offices; wealthy suburbs to distressed small communities in Central Appalachia; from distant cities to once-idyllic farm towns; the spread of opioid addiction follows a tortuous trajectory that illustrates how this crisis has persisted for so long and become so firmly entrenched.

Beginning with a single dealer who lands in a small Virginia town and sets about turning high school football stars into heroin overdose statistics, Macy sets out to answer a grieving mother's question-why her only son died-and comes away with a gripping, unputdownable story of greed and need. From the introduction of OxyContin in 1996, Macy investigates the powerful forces that led America's doctors and patients to embrace a medical culture where overtreatment with painkillers became the norm. In some of the same communities featured in her bestselling book Factory Man, the unemployed use painkillers both to numb the pain of joblessness and pay their bills, while privileged teens trade pills in cul-de-sacs, and even high school standouts fall prey to prostitution, jail, and death.

Through unsparing, compelling, and unforgettably humane portraits of families and first responders determined to ameliorate this epidemic, each facet of the crisis comes into focus. In these politically fragmented times, Beth Macy shows that one thing uniting Americans across geographic, partisan, and class lines is opioid drug abuse. But even in the midst of twin crises in drug abuse and healthcare, Macy finds reason to hope and ample signs of the spirit and tenacity that are helping the countless ordinary people ensnared by addiction build a better future for themselves, their families, and their communities.

"An impressive feat of journalism, monumental in scope and urgent in its implications." -- Jennifer Latson, The Boston Globe

August 7
Little, Brown and Company
Hachette Digital, Inc.

Customer Reviews

Hazel Rabbit ,


I am very sad to say that I see so many parallels between the events described in this book and the struggles my wife and I have had for the past too many years with our daughter.

owndao ,

Ask physicians instead of opportunists

The current fad to attack the prescribing of opiates and benzodiazepines completely ignores the fact that people must have relief from chronic pain and anxiety as well as the fact there are no substitutes for these medications. Addiction is the least of worries of people that cannot live with the terrible pain and panic attacks these drugs reduce.
It’s the current fad to prevent trained professionals from prescribing what they know is keeping their patients alive and in some cases functional. Go attack the sale of proven killers that continue to cause many more deaths in a completely uncaring way such as alcohol, and tobacco products.
Don’t torture to death your loved ones. Get the facts. The WHO has easy to use databases and tools to access them that will show that deaths due to misuse of these medications is the issue. Stop the root of the problem, misuse and addictive excess use. Do some research and you will find there are zero substitutes for treating severe systemic pain. There are medications that are much worse such as the ones pain clinics are experimenting with that have been in existence for years but never released for sale because of ineffectiveness or they have not been able to pass FDA approval and are completely experimental, available directly from clinics that have concocted them.
Most all people have no conception of what life with crippling pain or panic attacks are like. Neither does this author. Try and imaging anxiety so severe that you feel you are suffocating. They don’t call it the fight or flight response for nothing. Perhaps the author needs a heavy dose of epinephrine or for pain, a broken back or bone spurs stimulating their peripheral nerves. There is nothing short of cancer, severe arthritis, complicated by ulceration of the stomach and colon to replicate the pain so many feel.
There is no empathy here, just a way to ride the current fad of ignoring facts and expert advice for cash. Talk to people that are suffering like this instead of jumping on the insurance company propaganda wagon. Since 2016, more than 50 medications have been dropped from policies, not for safety concerns but because it’s not profitable to assist paying for coverage of medications that may be needed for the rest of the insured’s life.
Think for a change. The current administration in Washington has along with the Republican majority in Congress have been trying to enrich the already rich further by siding with big business. Check out medical insurance and you will find, like most forms of insurance, that just two or three corporations sell coverage to smaller insurance companies. Anti-monopoly (a small number of companies dominating an entire segment of business) and anti-trust (price fixing) laws are no longer being enforced in order to make the political big contributors more willing to fund million and now billionaire politicians. The only time you will be even addressed by these crooks is at election time. You are not represented, you were dismissed for funding.

princesshalez ,

Chronic pain…

So I’m a 31 year old I was first prescribed pain pills after I had a abusive relationship end in a few disks in my back being blown I was only 21 I did take them as prescribed… here I am now ten years later and not only can I not get them due to all the strict rules but I’m a full blown addict and it’s not like I wanted this I wake up every day not wanting to need them. But being 31 not being able to use my hands and can barley walk and addict to pain pills is something I don’t wish on any one my mom and many of my friend died of over doses to their own persciptions taking the right amount as prescribed they don’t fix the problem they only mask the pain. You people that can take them and not feel that deadly need for them be great full maybe take it as a sign you don’t need them because without them you think it’s so bad imagine if u liked them too… the Sakler family knew what they were doing they knew more the the one half of 1 percent was a lie all they wanted was the money they made billion and billions while people lost their lives lost their kids their parents and they littlerly just say back and enjoy the riches. It’s disgusting honestly anyone who can’t see the problem maybe it’s you…

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